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Antimicrobial Agents and Chemotherapy, February 1998, p. 269-276, Vol. 42, No. 2
0066-4804/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
A Rapid Method for Simultaneous Detection of
Phenotypic Resistance to Inhibitors of Protease and Reverse
Transcriptase in Recombinant Human Immunodeficiency Virus Type 1 Isolates from Patients Treated with Antiretroviral Drugs
Kurt
Hertogs,1,*
Marie-Pierre
de Béthune,2
Veronica
Miller,3
Tania
Ivens,2
Patricia
Schel,1
Anja
Van
Cauwenberge,1
Christel
Van den
Eynde,1
Veerle
van
Gerwen,1
Hilde
Azijn,2
Margriet
van
Houtte,1
Frank
Peeters,1
Schlomo
Staszewski,3
Marcus
Conant,4
Stuart
Bloor,5
Sharon
Kemp,5
Brendan
Larder,5 and
Rudi
Pauwels1,2
VIRCO, Central Virological
Laboratory,1 and
TIBOTEC, Institute for
Antiviral Research,2 B-2650 Edegem, Belgium;
Klinikum der Johann Wolfgang-Göethe Universität,
Zentrum der Inneren Medizin, Frankfurt,
Germany3;
Conant Medical Group, San
Francisco, California4; and
Glaxo
Wellcome Research and Development, Stevenage, United
Kingdom5
Received 25 July 1997/Returned for modification 29 September
1997/Accepted 25 November 1997
Combination therapy with protease (PR) and reverse transcriptase
(RT) inhibitors can efficiently suppress human immunodeficiency virus
(HIV) replication, but the emergence of drug-resistant variants correlates strongly with therapeutic failure. Here we describe a new
method for high-throughput analysis of clinical samples that permits
the simultaneous detection of HIV type 1 (HIV-1) phenotypic resistance
to both RT and PR inhibitors by means of recombinant virus assay
technology. HIV-1 RNA is extracted from plasma samples, and a 2.2-kb
fragment containing the entire HIV-1 PR- and RT-coding sequence is
amplified by nested reverse transcription-PCR. The pool of PR-RT-coding
sequences is then cotransfected into CD4+ T lymphocytes
(MT4) with the pGEMT3
PRT plasmid from which most of the PR (codons
10 to 99) and RT (codons 1 to 482) sequences are deleted. Homologous
recombination leads to the generation of chimeric viruses containing
PR- and RT-coding sequences derived from HIV-1 RNA in plasma. The
susceptibilities of the chimeric viruses to all currently available RT
and/or PR inhibitors is determined by an MT4
cell-3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide-based cell viability assay in an automated system that allows
high sample throughput. The profile of resistance to all RT and PR
inhibitors is displayed graphically in a single PR-RT-Antivirogram. This assay system facilitates the rapid large-scale phenotypic resistance determinations for all RT and PR inhibitors in one standardized assay.
*
Corresponding author. Mailing address: VIRCO NV,
Central Virological Laboratory, Intercity Business Park, Generaal de
Wittelaan 11B4, B-2800 Mechelen, Belgium. Phone: 32 15 286 340. Fax: 32 15 286 346. E-mail: kurt.hertogs{at}virco.be.
Antimicrobial Agents and Chemotherapy, February 1998, p. 269-276, Vol. 42, No. 2
0066-4804/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
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